Individual
DR. AMY BETH FAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH., J.D.
Contact information
Practice address
2324 PINE RIDGE RD, NAPLES, FL 34109-2003
(239) 435-0151
(239) 330-3472
Mailing address
2324 PINE RIDGE RD, NAPLES, FL 34109-2003
(239) 435-0151
(239) 330-3472
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
10957-40
WI
183500000X
Pharmacist
5302027330
MI
183500000X
Pharmacist
Primary
PS46292
FL
Other
Enumeration date
01/01/2008
Last updated
02/13/2024
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